Claims Representative (GEH) - Provider Service Organisation

• Adjudicate international medical, dental, and vision claims according to policy terms to meet productivity and quality goals.
• Monitor high cost claims and inform relevant parties.
• Ensure claims are settled within required turnaround times and report delays to a supervisor.
• Respond promptly to enquiries about plan design, eligibility, and claims status, aiming for first call resolution.
• Communicate effectively with internal and external customers to resolve provider issues.
• Manage ownership of assigned Provider’s Country Cluster.
• Identify and recommend process improvements.
• Support team members to achieve team goals.
• Perform other ad hoc tasks as required to meet business needs.

• Customer-focused with problem-solving skills.
• Ability to meet or exceed targets and manage multiple priorities.
• Proficient in Microsoft Office applications.
• Preferred: English and Arithmetic qualifications.
• Experience in medical administration, claims environment, or contact centre is advantageous but not essential.
• Excellent attention to detail and high accuracy.
• Strong interpersonal and communication skills, both verbal and written.
• Ability to work proactively and recommend process improvements.
• Ability to organise, prioritise, and manage workflow to meet individual and team goals.
• Ability to exercise judgement.

Apply by sending your CV through the employer's official contact. The closing date for applications is Wednesday, 14 October 2026.